Dentist at Market Square, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DN15236 Issued in FL

Legal business name

DENTIST AT MARKET SQUARE, INC.

Practice address

11770 SW 104TH St
Miami, FL 33186-3601

Phone

(786) 476-3583

Fax

(786) 476-3586

NPI assigned

Aug 28, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Reinaldo Sanchez, D.M.D.

Title

Dentist/Owner

Phone

(786) 476-3583

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1821346677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863601",
            "telephone_number": "786-476-3583",
            "fax_number": "786-476-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863601",
            "telephone_number": "786-476-3583",
            "fax_number": "786-476-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST AT MARKET SQUARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "786-476-3583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.